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MS. LISA KELLI GLENN LMT
NPI 1558804609
Specialist in Gainesville, FL

Active since November 22, 2016
6450 SW ARCHER RD, 210, GAINESVILLE, FL 32608(352) 378-7517 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Lisa Kelli Glenn Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA KELLI GLENN LMT (NPI 1558804609) is an individual specialist in Gainesville, Florida, licensed in Florida (MA18140) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1558804609
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. LISA KELLI GLENNCredential: LMT
Location Address6450 SW ARCHER RD, 210Gainesville, FL 32608-6133
Mailing Address6450 Sw Archer Rd, 210Gainesville, FL 32608-6133 · (352) 378-7517
Phone(352) 378-7517
Sole ProprietorNo
Enumeration DateNovember 22, 2016
✔ NPI 1558804609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · MA18140
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6450 SW ARCHER RD, Gainesville, FL 32608
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Glenn's NPI number?

The NPI number for Lisa Glenn is 1558804609. It was assigned to this individual provider in the NPPES registry on November 22, 2016.

Where is Lisa Glenn located?

Lisa Glenn practices at 6450 SW Archer Rd 210, Gainesville, FL 32608. The listed phone number is (352) 378-7517.

What is Lisa Glenn's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lisa Glenn was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.